Test 2 Lecture Flashcards
Nurse practice act
Being taught is right of health care
LPN and teaching
Can teach some but can not develop the plan
Domains of learning
Cognitive
Psychomotor
Affective
Factors increasing/decreasing learning
In Kozier
Learning ND form
Knowledge deficient RT disease X MB……
Insulin
AA transport
Allows sugar into cell
Stores glycogen in liver/some in muscle
Stop liver from releasing glucose
Diabetes and cultures
African American more at risk for diabetes/complications
Type 2 correlations
> 30 yrs old Obese Diabetic ketoacidosis FX Sedentary lifestyle Heredity
Type 3
Gestational
Placental hormones affect secretion of insulin
Type 4 diabetes
Secondary to other conditions
Glucocorticoid therapy
Pancreatic conditions
3 Ps of diabetes
Polyuria
Polydipsia
Polyphagia
Diabetes symptoms
Fatigue
More infections
Vision change
Weight loss
Goals for Diabetes
Controlling sugar decreases future complications
Teach
Manage/eliminate source of type 2
Diabetic monitoring tests
Fasting GLU
A1C
Urine GLU, Ket, TPRO, ALB
Serum lipids/electrolytes
Hypoglycemia (TIRED)
Tachy Irritable Restless Excessive hunger Diaphoresis/Depression
Checking GLU for hypo
Check but don't recheck initially 4-6oz juice/soda 3-4 GLU tabs 6-10 hard candies Wait 15 and check Retreat prn and add Protein and carb if needed
Unconscious Hypo treatment
SubQ Glucagon
25-50mL 50% dextrose
Diabetic KTA
Fruity breath/urine Abd pain Blurred vision Dehydrate Hyper K Tachy Hypotension
KTA treatment
Rehydrate
3-5 unit insulin drip
Electrolyte balance
Exercise and diabetes
Carry diabetic id Aerobic X3 Don't inject insulin into worked muscle Eat carbs before Avoid W/O when slow acting will kick in
Gastroparesis
Stomach muscle paralysis
NV Abd distention
Long term diabetes complications
Heart
Kidney
Eyes
Pain
Maternal insulin
Screened at 24-28 weeks 1st tri decrease 2nd/3rd increase GLU crosses placenta Insulin does not
T4
Cellular metabolic regulator
T3
5x stronger than T4
Thyroid tests
TSH levels- low is hyper. High is hypothyroidism
Radioactive iodine
Radioactive iodine test
Size change from thyroid absorbing (NPO 12)
Elevated uptake indicates hyper
Hyperthyroidism ss
Book stuff
Radioactive thyroid treatment
I-131 (2-3 weeks) Flush multiple times Absorbing pads Radiation readings Excreted in feces Thyroid storm Isolated
Thyroid meds
PTU and methimazole
(with foods assess sore throat, fever, bruise)
Iodine prep (Before ectomy stains teeth)
Beta blocker for tachy
Thyroid storm
Over active thyroid
Increased metabolism
Storm s/s
Fever
Tachy
Hypo hypertension
Causes heart failure
Storm treatment
Airway
Fluids
Tylenol not NSAID
Thyroidectomy Nd
Ineffective breathing Pain Injury Alt nutrition Impaired communication/comfort
Hypothyroidism not on slide
Thinner hair
Anemia
